IndividualActive
David Bogenschutz, DDS,MS
NPI 1457436875 · Orthodontics and Dentofacial Orthopedics Dentistry · Mequon, WI
Provider details
- NPI number
- 1457436875
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS,MS
- Sex
- Male
- Sole proprietor
- No
- License
- 4778-015 (WI)
Specialties & taxonomies
Dental Providers
Practice location
1025 W Glen Oaks Ln
Ste 212
Mequon, WI 53092-3370
Phone: (262) 241-3150
Fax: (262) 241-3126
Approximate (ZIP-level) locationGet directions
Mailing address
1025 W Glen Oaks Ln
Mequon, WI 53092-3370
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.